Enhancing the efficiency of desensitizing agents with shockwave treatment – a new paradigm in dentinal hypersensitivity management

RSC Advances ◽  
2016 ◽  
Vol 6 (73) ◽  
pp. 68973-68978 ◽  
Author(s):  
Akshay Datey ◽  
C. S. Adeeb Thaha ◽  
Sudhir R. Patil ◽  
Jagadeesh Gopalan ◽  
Dipshikha Chakravortty

Micro-shockwave assisted dentin hypersensitivity management.

2021 ◽  
Vol 3 (2) ◽  
pp. 69-72
Author(s):  
Nemakal Sumana ◽  
Chakravarthy YSHS ◽  
Ch Susmitha S S ◽  
Patcha Harika ◽  
Sravani Bontu ◽  
...  

Dentin hypersensitivity is one of the most common presenting symptoms in dental practice. It may range from mild discomfort to severe pain affecting the person. Laser desensitization has been introduced as a useful tool for the treatment of hypersensitivity. Gluma Dentin Bond is an adhesive system, where the primer contains 5% glutaraldehyde and 35% hydroxyethyl methacrylate. Practitioners have reported a strong desensitizing effect of the Gluma® system on dentin The aim of this study is to evaluate and compare the clinical effectiveness of Diode laser and Gluma ®desensitizing agent in the treatment of dentin hypersensitivity. 24 patients aged between 20 and 50 years was included to assess tooth sensitivity, a controlled air stimulus (evaporative stimulus) was used. Sensitivity was measured using a 10-cm Visual Aanalog Scale (VAS) score. The teeth was randomly allocated to two groups i.e., Group I or II using the lottery method. Gluma® showed a statistically significant reduction in the VAS score as compared to diode laser 1, 2- and 4-weeks follow-up period (p < 0.05).  The result of the present investigation revealed that application of Gluma® resulted in better control dentin hypersensitivity as compared to diode laser.


10.2341/07-5 ◽  
2007 ◽  
Vol 32 (6) ◽  
pp. 544-548 ◽  
Author(s):  
T. Pamir ◽  
H. Dalgar ◽  
B. Onal

Clinical Relevance Three desensitizing agents with different active ingredients exhibited similar effects in the treatment of dentin hypersensitivity by mechanical blockage.


Author(s):  
Nick Yiannios, DDS

In the literature, Dentinal Hypersensitivity (DH) is considered to arise from exposed dentin and patent dentinal tubules. However, clinical observation of recurrent DH sensitivity indicates it can occur in the presence or absence of exposed dentin. Quantified occlusal contact force and timing parameters have been ignored in studies assessing hypersensitive teeth. This chapter introduces a novel occlusal concept: Frictional Dental Hypersensitivity (FDH). Clinical evidence from combining computerized occlusal analysis and electromyography is presented linking opposing posterior tooth friction and muscular hyperactivity to Dentin Hypersensitivity. This chapter proffers how occlusion, muscular TMD symptoms, and frictional Dentin Hypersensitivity are all related. Lastly, a Pilot Study is presented that used a Visual Numerical Analog scale to quantify Dentin Hypersensitivity resolution observed in symptomatic patients who underwent the Immediate Complete Anterior Guidance Development (ICAGD) coronoplasty. This computer-guided occlusal adjustment eliminated pretreatment FDH symptomatology, further supporting that Dentinal Hypersensitivity has an occlusally-based, frictional etiology.


2009 ◽  
Vol 34 (4) ◽  
pp. 392-398 ◽  
Author(s):  
T. Ozen ◽  
K. Orhan ◽  
H. Avsever ◽  
Y. M. Tunca ◽  
A. E. Ulker ◽  
...  

Clinical Relevance The three tested desensitizing agents were equally effective in relieving dentin hypersensitivity and showed statistically significant pain reduction when compared to a placebo.


Author(s):  
K. Hanisha Reddy ◽  
Afroz Kalmee Syed ◽  
Dasarathi Alivelu ◽  
Haranath Danda ◽  
Ramya Alla

Background: Dentin hypersensitivity (DH) affects 3%-75% of the people and is one of the morbid tooth conditions. Hence in the present study we aim to examine the clinical effectiveness of 3 different desensitizing agents in decreasing pain of DH in time of 1 month.Methods: Fifty subjects with cervical DH in at least one tooth in any three of the 4 quadrants were selected. VAS was used to note the pain. Each quadrant in an individual was randomly assigned. Profluorid varnish, Admira protect, and PRG‑Barrier coat was used. VAS scores for the tactile and air stimuli were noted immediately after application, 1 week, and after 1 month. The data was analyzed keeping p<0.05 as significant.Results: VAS significantly reduced for all three groups from the base line (p<0.001). Admira protect showed significant reduction of hypersensitivity scores at 1 month compared to other groups (p<0.001).Conclusions: Admira protect was better at lowering the pain due to DH than PRG‑barrier coat and Profluorid varnish after 1 month of application.


2014 ◽  
Vol 02 (01) ◽  
pp. 016-021
Author(s):  
Ashu Gupta ◽  
Neha Sharma ◽  
Manmohan Bramta

AbstractDentinal hypersensitivity (DH) is a painful clinical condition and is characterized by pain arising from exposed dentin in response to various stimuli. Various treatment modalities are available to treat dentinal hypersensitivity which include at-home and in-office treatment. At home treatment generally consists of a variety of dentrifices containing different constituents like stannous fluoride, strontium chloride and potassium oxalate. These agents cause occlusion of dentinal tubules which decreases both dentine permeability and fluid movement thereby reducing hypersensitivity. Recently, bioactive glass (NovaMin) has been incorporated as a remineralising ingredient in dentifrice formulations for treating Dentinal Hyprsensitivity. It relieves the symptoms by precipitating hydroxycarbonate apatite (HCA) onto the tooth surface. Another combination product consisting of an aqueous solution of 5% glutaraldehyde and 35% hydroxyethyl methacrylate (Gluma desensitizer) has also been reported to be an effective desensitizing agent. Thus, the aim of the study was to evaluate and compare the tubule occluding effect of of two desensitizing agents, which are bioactive glass (Novamin), and Gluma Desensitizer. In the present study bioactive glass was found to produce more completely occluded tubules while Gluma desensitizer caused more partial occlusion on initial application. Hence, NovaMin application could be more effective in providing relief from dentinal hypersensitivity when compared with Gluma Desensitizer.


2018 ◽  
Vol 34 ◽  
pp. e79-e80
Author(s):  
J.M. Moreira ◽  
V.C. Ruschel ◽  
A.S. Bandeira ◽  
G.B. Raube ◽  
J.K. Bernardon

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